多元联动健康教育对脑胶质瘤患者术后自我管理效能与并发症的影响-现代医学

多元联动健康教育对脑胶质瘤患者术后自我管理效能与并发症的影响

单位：苏州大学附属第二医院, 江苏苏州 215000

分类号：R739.41;R473.73

出版年·卷·期（页码）：2025·53·第一期（106-111）

摘要：

目的: 探讨多元联动健康教育对脑胶质瘤患者术后自我管理效能与并发症的影响。方法: 选取2021年5月至2023年5月我院收治的脑胶质瘤术后患者72例，依据电脑随机数表法分为常规组(n＝36)和联动组(n＝36)。常规组予以常规健康教育，联动组在常规组基础上展开多元联动健康教育，均干预6个月。比较两组干预前、干预6个月后采用中文版癌症自我管理效能量表(SUPPH)、中文版服药依从性量表(MMAS-8)、中文版癌症治疗功能评价系统-共性模块量表(FACT-G)评分；统计并发症及护理满意度情况。结果: 干预6个月后联动组SUPPH、FACT-G、MMAS-8评分分别为(106.11±9.24)分、(89.60±8.63)分、(6.82±0.61)分，均高于常规组的(86.04±10.57)分、(82.04±9.51)分、(5.97±0.73)分，差异有统计学意义(P＜0.05)；联动组干预期间总放化疗并发症发生率为25.00%，低于常规组的52.78%，差异有统计学意义(P＜0.05)；联动组干预后总满意度为97.22%，高于常规组的77.78%，差异有统计学意义(P＜0.05)。结论: 应用多元联动健康教育可改善脑胶质瘤患者术后自我管理效能、服药依从性及生活质量，且利于降低并发症风险，改善护理满意度。

Objective: To explore the effect of multiple linkage health education on postoperative self-management efficacy and complications in patients with glioma. Methods: From May 2021 to May 2023, 72 patients with glioma after operation were selected and divided into routine group(n=36) and linkage group(n=36) according to the computer random number table method. The routine group was given routine health education, and the linkage group was given multiple linkage health education on the basis of the routine group. Both groups were intervened for 6 months. The strategies used by people to promote health(SUPPH), 8-item Morisky medication adherence scale(MMAS-8) and functional assessment of cancer therapy(FACT-G) score were used to compare the results between the two groups before intervention and 6 months after intervention. The complications and the nursing satisfaction were statistically analyzed. Results: After 6 months of intervention, the scores of SUPPH, FACT-G and MMAS-8 in the linkage group were(106.11±9.24) points,(89.60±8.63) points and(6.82±0.61) points, respectively, which were higher than(86.04±10.57) points,(82.04±9.51) points and(5.97±0.73) points in the conventional group, the difference being statistically significant(P<0.05). The incidence of total complications of radiotherapy and chemotherapy during intervention in the linkage group was 25.00%, which was lower than 52.78% in the conventional group, and the difference was statistically significant(P<0.05). The total satisfaction of the linkage group after intervention was 97.22%, which was higher than 77.78% of the conventional group, and the difference was statistically significant(P<0.05). Conclusion: The application of multiple linkage health education can improve the self-management efficacy, medication compliance and quality of life in patients with glioma after operation, and it is conducive to reducing the risk of complications and improve nursing satisfaction.

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